NR 508 Week-6 Quiz 4 Assignment

NR 508 Week-6 Quiz 4 Assignment

NR 508 Week-6 Quiz 4 Assignment

A pt who has osteoarthritis is scheduled to have knee surgery. The pt takes asparin for MI prophylaxis and naproxen (Naprosyn) for pain and inflammation. Which statement by the pt to the primary care NP indicates a need for further teaching?
A pt who is obese and has hypertension is taking a thiazide diuretic and develops gouty arthritis, which is treated with probenecid. At a follow-up visit, the pts serum uric acid level is 7mg/dl, and the pt denies any current symptoms. The primary care NP should discontinue the probenecid and :
A pt who has HTN is taking a thiazide diuretic. The pt has a serum uric acid level of 8 mg/dl. The primary care NP caring for this pt should:
A patient with a history of gouty arthritis comes to the clinic with acute pain and swelling of the great toe. The patient is not currently taking any medications. The primary care  NP should prescribe:
A patient having recurring migraine headaches and you plan to initiate prophylactic therapy. Which class of anti-hypertensive medications has been shown to have the greatest efficacy in preventing migraine headache?

NR 508 Week 6 Study Guide

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Acute and prophylactic therapies, including herbal, for migraine headaches (see lecture with narration attached) and chapter 44
What monitoring is necessary for migraine prophylactic medications?
Monitoring

Recommended prophylactic therapies for migraine headaches (be sure to view/listen to the migraine lecture)
serotonin syndrome? (Ch 47 pg 523-526) (epocrates)
drugs are associated with serotonin syndrome? (epocrates)
Which prophylactic antihypertensive medication should be avoided in patients with asthma due to risk of bronchospasm?
Pharmacologic management of Gout including side effects of medication
Pharmacologic management of OA including side effects of the medications
Side effects of NSAIDs
Uses of aspirin and adverse effects-
If a patient is to have surgery, does aspirin need to be stopped, if so, how soon before? What about NSAIDs such as naproxen or ibuprofen?
Medication that may increase uric acid levels (ch 38 pg 423)